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Abstract: This rule creates a standardized, transparent process for States to follow as part of their broader efforts to "assure that payments are consistent with efficiency, economy, and quality of care and are sufficient to enlist enough providers so that care and services are available under the plan at least to the extent that such care and services are available to the general population in the geographic area" as required by section 1902(a)(30)(A) of the Social Security Act (the Act). This rule also recognizes, as States have requested, electronic publication as an optional means of communicating State plan amendments (SPAs) and proposed rate-setting policy changes to the public.